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1205983459
LISA ANNE ERWIN
RUSSELLVILLE, AR
NPI
1205983459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR AT309)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
Ms. LISA ANNE ERWIN ATC
1306 N EL PASO AVE
RUSSELLVILLE, AR 72801-8814
Phone number: 479-968-0642
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Mailing Address
Ms. LISA ANNE ERWIN ATC
820 SANDSTONE CIR 11
RUSSELLVILLE, AR 72802-7101
Phone number: 479-264-3937
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